Surgical ligation of scrotal varicocele for male factor infertility is a valid option of treatment

Muhammad Moazzam, Khurram M. Siddiqui, Mohammed H. Ather, S. Raziuddin Biyabani

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Objective: To evaluate the role of surgical ligation of scrotal varicocele for treatment of male factor infertility. Methods: We studied 60 patients who presented with infertility and were also found to have scrotal varicocele. Patients with other probable causes contributing to infertility were excluded. Diagnosis was made by clinical examination and scrotal ultrasonography. All the patients underwent either laparoscopic varicocelectomy or open retroperitoneal high ligation of the testicular veins. Operative time and hospital stay was recorded. All patients were evaluated for postoperative improvement of semen parameters and development of any postoperative complication. The results were analyzed by commercially available software. Results: During the study period 5 patients were lost to follow up and were excluded. The rest of patients (n=55) were young, with age ranging from 20-35 years (Mean age 27.8 years, SD ± 4.38). All patients had unilateral left sided varicocele; two patients (3.6%) had grade I varicocele, 21 patients (38.2%) had grade II varicocele and 32 patients (58.2%) had grade III varicocele. Statistically significant improvement in sperm density (p value < 0.05), sperm activity (p value < 0.05) and sperm morphology (p value < 0.05) was observed after the surgical ligation. The mean operative time was 54.88 minutes (SD ± 13). The mean hospital stay in laparoscopic procedure was 33.4 (SD ± 15.3). Minor complications were noted in 13 patients and included superficial wound infection in 3 patients, 6 patients exhibited testicular pain and persistence of varicocele in 4 patients. Conclusion: Surgical ligation of scrotal varicocele is a safe and effective mode of treatment of male factor infertility in selected population.

Original languageEnglish
Pages (from-to)363-365
Number of pages3
JournalJournal of the Pakistan Medical Association
Volume56
Issue number8
Publication statusPublished - Aug 2006

Fingerprint

Varicocele
Male Infertility
Ligation
Therapeutics
Spermatozoa
Operative Time
Infertility
Length of Stay
Lost to Follow-Up
Wound Infection
Semen

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Surgical ligation of scrotal varicocele for male factor infertility is a valid option of treatment. / Moazzam, Muhammad; Siddiqui, Khurram M.; Ather, Mohammed H.; Biyabani, S. Raziuddin.

In: Journal of the Pakistan Medical Association, Vol. 56, No. 8, 08.2006, p. 363-365.

Research output: Contribution to journalArticle

Moazzam, Muhammad ; Siddiqui, Khurram M. ; Ather, Mohammed H. ; Biyabani, S. Raziuddin. / Surgical ligation of scrotal varicocele for male factor infertility is a valid option of treatment. In: Journal of the Pakistan Medical Association. 2006 ; Vol. 56, No. 8. pp. 363-365.
@article{e54a1dbf29e94f23b99746ad6be6c40c,
title = "Surgical ligation of scrotal varicocele for male factor infertility is a valid option of treatment",
abstract = "Objective: To evaluate the role of surgical ligation of scrotal varicocele for treatment of male factor infertility. Methods: We studied 60 patients who presented with infertility and were also found to have scrotal varicocele. Patients with other probable causes contributing to infertility were excluded. Diagnosis was made by clinical examination and scrotal ultrasonography. All the patients underwent either laparoscopic varicocelectomy or open retroperitoneal high ligation of the testicular veins. Operative time and hospital stay was recorded. All patients were evaluated for postoperative improvement of semen parameters and development of any postoperative complication. The results were analyzed by commercially available software. Results: During the study period 5 patients were lost to follow up and were excluded. The rest of patients (n=55) were young, with age ranging from 20-35 years (Mean age 27.8 years, SD ± 4.38). All patients had unilateral left sided varicocele; two patients (3.6{\%}) had grade I varicocele, 21 patients (38.2{\%}) had grade II varicocele and 32 patients (58.2{\%}) had grade III varicocele. Statistically significant improvement in sperm density (p value < 0.05), sperm activity (p value < 0.05) and sperm morphology (p value < 0.05) was observed after the surgical ligation. The mean operative time was 54.88 minutes (SD ± 13). The mean hospital stay in laparoscopic procedure was 33.4 (SD ± 15.3). Minor complications were noted in 13 patients and included superficial wound infection in 3 patients, 6 patients exhibited testicular pain and persistence of varicocele in 4 patients. Conclusion: Surgical ligation of scrotal varicocele is a safe and effective mode of treatment of male factor infertility in selected population.",
author = "Muhammad Moazzam and Siddiqui, {Khurram M.} and Ather, {Mohammed H.} and Biyabani, {S. Raziuddin}",
year = "2006",
month = "8",
language = "English",
volume = "56",
pages = "363--365",
journal = "JPMA. The Journal of the Pakistan Medical Association",
issn = "0030-9982",
publisher = "Pakistan Medical Association",
number = "8",

}

TY - JOUR

T1 - Surgical ligation of scrotal varicocele for male factor infertility is a valid option of treatment

AU - Moazzam, Muhammad

AU - Siddiqui, Khurram M.

AU - Ather, Mohammed H.

AU - Biyabani, S. Raziuddin

PY - 2006/8

Y1 - 2006/8

N2 - Objective: To evaluate the role of surgical ligation of scrotal varicocele for treatment of male factor infertility. Methods: We studied 60 patients who presented with infertility and were also found to have scrotal varicocele. Patients with other probable causes contributing to infertility were excluded. Diagnosis was made by clinical examination and scrotal ultrasonography. All the patients underwent either laparoscopic varicocelectomy or open retroperitoneal high ligation of the testicular veins. Operative time and hospital stay was recorded. All patients were evaluated for postoperative improvement of semen parameters and development of any postoperative complication. The results were analyzed by commercially available software. Results: During the study period 5 patients were lost to follow up and were excluded. The rest of patients (n=55) were young, with age ranging from 20-35 years (Mean age 27.8 years, SD ± 4.38). All patients had unilateral left sided varicocele; two patients (3.6%) had grade I varicocele, 21 patients (38.2%) had grade II varicocele and 32 patients (58.2%) had grade III varicocele. Statistically significant improvement in sperm density (p value < 0.05), sperm activity (p value < 0.05) and sperm morphology (p value < 0.05) was observed after the surgical ligation. The mean operative time was 54.88 minutes (SD ± 13). The mean hospital stay in laparoscopic procedure was 33.4 (SD ± 15.3). Minor complications were noted in 13 patients and included superficial wound infection in 3 patients, 6 patients exhibited testicular pain and persistence of varicocele in 4 patients. Conclusion: Surgical ligation of scrotal varicocele is a safe and effective mode of treatment of male factor infertility in selected population.

AB - Objective: To evaluate the role of surgical ligation of scrotal varicocele for treatment of male factor infertility. Methods: We studied 60 patients who presented with infertility and were also found to have scrotal varicocele. Patients with other probable causes contributing to infertility were excluded. Diagnosis was made by clinical examination and scrotal ultrasonography. All the patients underwent either laparoscopic varicocelectomy or open retroperitoneal high ligation of the testicular veins. Operative time and hospital stay was recorded. All patients were evaluated for postoperative improvement of semen parameters and development of any postoperative complication. The results were analyzed by commercially available software. Results: During the study period 5 patients were lost to follow up and were excluded. The rest of patients (n=55) were young, with age ranging from 20-35 years (Mean age 27.8 years, SD ± 4.38). All patients had unilateral left sided varicocele; two patients (3.6%) had grade I varicocele, 21 patients (38.2%) had grade II varicocele and 32 patients (58.2%) had grade III varicocele. Statistically significant improvement in sperm density (p value < 0.05), sperm activity (p value < 0.05) and sperm morphology (p value < 0.05) was observed after the surgical ligation. The mean operative time was 54.88 minutes (SD ± 13). The mean hospital stay in laparoscopic procedure was 33.4 (SD ± 15.3). Minor complications were noted in 13 patients and included superficial wound infection in 3 patients, 6 patients exhibited testicular pain and persistence of varicocele in 4 patients. Conclusion: Surgical ligation of scrotal varicocele is a safe and effective mode of treatment of male factor infertility in selected population.

UR - http://www.scopus.com/inward/record.url?scp=33845530689&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33845530689&partnerID=8YFLogxK

M3 - Article

C2 - 16967788

AN - SCOPUS:33845530689

VL - 56

SP - 363

EP - 365

JO - JPMA. The Journal of the Pakistan Medical Association

JF - JPMA. The Journal of the Pakistan Medical Association

SN - 0030-9982

IS - 8

ER -